Spotter Checklist for Overhead Powerlines

Job Details:

• Company Name: Apex Constructions Pty Ltd
• Site Address: 45 Smith Street, Parramatta NSW
• Date: 15/10/2023
• Job Number: JOB-552-ARC
• Supervisor Name: David Jones

Plant / Machinery Details:

• Type of Plant: 20 Tonne Mobile Crane
• Make/Model: Liebherr LTM 1120
• Plant ID/Reg: CRN 88542
• Maximum Height/Reach: 28 Metres

Powerline Details:

• Location of Lines: Running East-West along the rear lane
• Line Voltage: 11,000 Volts (11kV)
• Required Exclusion Zone: 3.0 Metres
• Height of Lines above ground: 9.5 Metres at lowest point
• Are Tiger Tails installed? No

Spotter Details:

• Spotter Name: Sarah Smith
• Spotter Qualification: CPCCOHS2001A - Apply OHS requirements
• Qualification Number: 12345678
• Is the Spotter not the Operator? Yes

Pre-Work Checklist:

• Site induction completed with all workers.
• Underground assets located (BYD plans clear).
• Overhead powerlines identified and marked on site plan.
• Exclusion zones measured and physically marked with orange bunting.
• Emergency procedures discussed (Operator to stay in cab).
• Communication method agreed (UHF Radio Channel 5).
• Weather conditions checked (Clear sky, no wind).
• Machinery stabilisers deployed in safe zone.

Communication Plan:

• Stop Signal: One long blast on horn and crossed arms.
• Emergency Signal: Continuous yelling of STOP.
• Radio Channel: 5

Safe Work Method Statement (SWMS) Reference:

• SWMS Number: SWMS-CRANE-01
• Specific Controls in place: Tag lines used, load kept lower than powerlines where possible.

Declaration:

Operator Signature: M. Wilson Date: 15/10/2023

Spotter Signature: S. Smith Date: 15/10/2023

Supervisor Signature: D. Jones Date: 15/10/2023

Network Provider Approval (if applicable): N/A (Outside zone for notification)